일부 농촌지역 노인들의 인지 장애에 관련된 요인에 관한 연구

고광욱,조병만,이수일,김돈균,조봉수,김영욱,김영실,강수용,Koh, Kwang-Wook,Cho, Byung-Mann,Lee, Su-Ill,Kim, Don-Kyoun,Cho, Bong-Su,Kim, Yeung-Wook,Kim, Young-Sil,Kang, Su-Yong 대한예방의학회 1996 예방의학회지 Vol.29 No.3

경상남도 일부 지역에서 60세 이상 노인들의 MMSE에 의한 인지 장애 유병률을 조사하고 인지 장애에 영향을 미치는 요인들을 조사하여 다음과 같은 성적을 얻었다. 1. MMSE에 의한 인지 장애의 유병률은 35.9%로 남자에서 18.4%, 여자에서 45.2%였다. 2. 인지 장애 유병률은 여자에서 유의하게 높았고(p=0.02) 무학력자와 문맹자의 인지 장애 유병률이 통계적으로 유의하게 높았다(p=0.03). 3.성별과 교육 수준에 따른 층화 분석에서 알루미늄의 인지 기능에 대한 독성 효과와 칼슘의 보호 효과에 대한 전체적으로 일정한 경향은 관찰되지 않았다(p>0.05). 4. 최종 분석 대상자 전체에서 음용수 중의 알루미늄과 인지 기능 검사 점수간의 상관 계수는 -0.066으로서 미약한 음의 상관관계에 있었으나 통계학적인 유의성은 보이지 않았고(p=0.434), 칼슘과 MMSE 점수와의 관계에서도 기대했던 바의 양의 상관관계는 관찰할 수 없었다. To investigate the factors which affecting the cognitive impairment of the 60 or more age group, the authors surveyed for the subjects in some area of Kyungnam Province. 201 studied subjects were tested for cognitive function with mini-mental state examination(MMSE). Information on demographic characteristics and life style has been collected through direct interview. The concentration of Ai and Ca of subject's drinking water, which might be related with cognition, was measured by Inductively Coupled Argon Plasma Spectrometer. The main results were summarized as follows. 1. The prevalence rate of cognitive impairment was 18.4% in male and 45.2% in female and this sexual difference was statistically significant(p=0.03). And the uneducated or illiterated showed significantly high prevalence rate of cognitive impairment(p=0.02). 2. In stratified analysis by sex md education year, we can not see significant trend indicating the neurotoxic effects of aluminum and protective effects of calcium to the cognitive function(p>0.05). 3. The correlation between the concentration of aluminum in drinking water and the MMSE score in whole subjects showed weak negative relationship(r=-0.066). But there was no statistical significance(p=0.434).

부산 일부지역 여성들의 자궁경부암 조기검진에 대한 지식, 태도 및 경험

고광욱 ( Kwang-wook Koh ),이덕희 ( Duk-hee Lee ),이용환 ( Yonghwan Lee ),손혜숙 ( Hae-sook Sohn ) 한국모자보건학회 2002 한국모자보건학회지 Vol.6 No.1

Objectives : The purpose of this study was to survey the knowledge, attitude and experience of uterine cervical cancer screening of women in Sasang District of Busan Metropolitan City. Methods : The data were collected by self-administered questionnaire between November 20 and 30,2000. The study subjects were 921 mothers of the 1st grade students in three girl's middle school in Sasang District of Busan Metropolitan City. Descriptive statistics and χ²test in SPSS program were used for data analysis. Results : The proportion of mothers who ever had cervical cancer screening was 74.4%. Among mothers ever had screening 49.5% had 3 or more times in their life time, 26.8% of them had the last screening in year 2000, 41.6% had regular health examination but only 11.2% of them had taken the regular health examination provided by the health insurance. Proportion of mothers who knew that there is cervical cancer screening method was 79.4% and main source of information was mass media. Only 42.5% of subjects knew that health examination of health insurance included cervical cancer examination without cost. However, many of the subjects did not know the specific risk factors for cervical cancer. The factors associated with cervical cancer screening were experience of regular health examination, experience of clinic visit and recommendation of health professional, family, neighborhood and relatives, level of knowledge about cervical cancer screening and attitude about cervical screening. Conclusions : Although the proportion of mothers who ever had cervical cancer screening was relatively high but the frequency and interval of screening were not adequate. Knowledge and the attitude about cervical cancer and its screening need to be more specific. To promote cervical cancer screening, organized community activity including the utilization of the regular health examination of health insurance and the recommendation of medical personnel are suggested.

신장질환 ( 2 ) : 사구체신염의 최신지견

고광욱 ( Kwang Wook Koh ) 대한내과학회 1978 대한내과학회지 Vol.21 No.5

신체활동 증진을 위한 부문간 협력

고광욱(Kwang-Wook Koh) 한국보건교육건강증진학회 2013 보건교육건강증진학회지 Vol.30 No.4

Objectives: This article intends to explore the major documents about inter-sectoral collaboration for physical activity promotion based on new paradigm. Methods: In addition to the documents after 1990s collected through several physical activity related projects of author, additional snowballing exploration has been done. Results: Globally extensive participation of stake-holders and partnership developed were strategically recommended and implementation strategy and good example were provided. In Europe individual, micro-environmental and macro-environmental specific role of major sectors were provided. Nationally series of Australian documents officialized inter-sectoral linkages from early times and Slovenian program showed examples of inter-sectoral evaluation and health indicators. U.S. national physical activity plan showed specific example of 6 guiding principles and 5 overarching strategies among 8 sectors for good inter-sectoral collaboration. In city level, healthy city approach activated. Conclusions: Various specific good examples of intersectoral physical activity collaboration could searched globally, regionally and nationally for application in Korea.

건강도시 진주시 사례보고

고광욱(Kwang Wook Koh),김혜숙(Hye Sook Kim) 도시건강학회 2022 도시건강연구 Vol.1 No.1

Although Healthy City Jinju has relatively long history among Korean Healthy Cities academic case reporting has not been done yet. Using the SPIRIT checklist of Alliance for Healthy Cities, evaluation was conducted with practitioners of Jinju. The SPIRIT checklist is formal evaluation tool of Alliance for Healthy Cities for Healthy Cities since its foundation. Healthy City Jinju has three stages of development. Some elements of the SPIRIT checklist showed very good performance but according to the leadership change of the city and the lead agency, the framework of Healthy Cities programmes were substantially changed. According to the amendment of Korean Health Promotion Act in 2021, a full-fledged Healthy Cities approach based on international standards is required.

신체활동부족 관련 의료비

고광욱(Koh, Kwang-Wook) 대한운동학회 2006 아시아 운동학 학술지 Vol.8 No.2

신체활동 부족은 질병과 사망의 주요한 위험인자이나 이에 대한 인식과 연구가 부족하여 건강보험급여을 이용하여 개략적 의료비를 추산하여 보고자 하였다. 연구의 방법은 미국보건복지부의 개략적 추산법을 이용하여 관련 질병을 선정하여 건강보험통계의 입원 및 외래 급여비를 합산하고 기존 연구를 통해 알려진 인구집단 기여위험도를 적용하여 신체활동 부족 관련 의료비를 추산하였다. 연구의 결과 입원과 외래를 합하여 인슐린 비의존 당뇨병, 무릎관절증, 협심증, 우울병, 급성심근경색증, 결장암, 유방암, 직장암 순의 분포를 보였고 여기에 인구집단 기여위험도를 적용하면 인슐린 비의존 당뇨병, 협심증, 급성심근경색증, 결장암, 직장암, 유방암의 순으로 총 205,211,206천원의 의료비가 신체활동 부족에 기인한 것으로 추정되었다 결론 및 제언으로는 개략적 적용에 의한 의료비 추산시 당뇨병, 허혈성심질환, 대장암, 유방암의 의료비 부담이 큰 것으로 나타나 이에 대한 지속적 모니터링 및 보완연구가 필요하다. Although Physical inactivity is major risk factor of morbidity and mortality, awareness and research is not much. So approximate estimation using health insurance data and population attributable risk rate was tried. regarding the research methods, diseases were selected after the method of United States Department of Health and Human Services. Medical costs were estimated by cost of treatment benefit of National Health Insurance Corporation. Population attributable risk rate applicated to the above cost. According to the result, cost of treatment benefit of Insulin non-dependant diabetes mellitus(NIDDM), arthritis of knee, angina pectoris, depression, acute myocardial infarction, rectal cancer, breast cancer were high in order. Cost of treatment benefit due to physical inactivity were estimated 205,211,206 thousand won in order of NIDDM, angina, acute myocardial infarction, colon cancer, rectal cancer and breast cancer. In short medical cost of NIDDM, Ischemic heart disease, cancer of large intestine and breast cancer were high in Republic of Korea and continuous monitoring and complementary research is needed.

부산광역시 동래구 코로나-19 지역사회 초기대응 사례보고

고광욱(Kwang-wook Koh),김혜숙(Hye-Sook Kim) 한국농촌의학 지역보건학회 2021 농촌의학·지역보건 Vol.46 No.3

이 연구는 코로나-19 이후 정치 경제 사회 문화 등의 모든 분야에서 상당한 변화가 자명한 바 한지방자치단체에서의 위기 극복의 결집된 힘으로 한 단계 더 도약할 수 있는 기회로 삼고 다가올 포스트 코로나에 대비한 새로운 사회변화에 적응할 준비를 하려면 사태의 발생과 대응에 대한 전 과정의 기록을 통해 되짚어보고 유사한 사태가 발생 하였을 때 체계적인 사전대응에 실제 활용가능한 지침이 될 수 있도록 사례보고를 하고자 하였다. 자료 활용은 백서제작을 위한 2020년 1월에서 7월까지의 행정자료를 활용하였고 여러 차례의 전화면담이 추가로 시행되었다. 부산시 동래구 코로나-19 지역사회 초기대응의 성공은 구청장의 정치적 헌신과 민관 부문간의 지역사회 차원의 협력을 통해 부산시 최초의 코로나-19 발병에 대한 적극적으로 대응이 된 것으로 사료된다. Objectives: We did this study to summarize and review and charcterize the community-wide early response to COVID-19 in Dongnae-gu of Busan Metropolitan City where first confirmed case of COVID_19 occurred in Busan. Methods: Research team from college of medicine participated as advisor to response team of local government. Research team consulted and educated and interviewed response team and wrote and reviewed COVID-19 white paper of local government. Results: Political commitment of District mayor made possible community-wide co-operation between public-private section. Early mobilization of District-wide resource was possible through political commitment. Whole-of-government response developoed to whole-of-society approach including economic support. Conclusions: Proactive community-wide response were mobilized under commitment of city mayor of local government to address the first CIVID-19 incidence in Busan Metropolitan City.

한국 건강도시의 새로운 방향

고광욱(Kwang Wook Koh),김혜숙(Hye Sook Kim) 도시건강학회 2022 도시건강연구 Vol.1 No.1

Korea has experienced rapid change and urbanization rate in 2018 is 90.8% and faces challenges in issues such as suicide, quality of life, rapid ageing, low birth rate, climate change and pandemics. In this paper, we reviewed the evolution of Korean Healthy Cities and explored new way through literature reviews. The unprecedented rate of urbanization and population growth have been supplemented with Primary Health Care and Health Promotion of World Health Organization. Korean Healthy Cities Partnership also has grown rapidly since 2006 and many organizations have played diverse roles and finally National Health Promotion Act amended to include Healthy Cities in 2021. The Korean Health Plan 2030 also include Health in All Policies as basic principles. Climate change and pandemic requires another paradigm change in Healthy Cities. So Korean Healthy Cities needs new directions based on ‘Essential Healthy Cities action domains’ in governance, inequalities, supportive environments, plan for urban preparedness, readiness and response in public health emergencies etc.

세계보건기구 서태평양지역 건강도시 지침의 비교와 의의

고광욱(Kwang Wook Koh),김혜숙(Hye Sook Kim) 도시건강학회 2023 도시건강연구 Vol.2 No.2

Although Korean Healthy Cities have shown rapid growth in number, there is still no official Healthy Cities guideline developed in Korea. Before the Healthy Cites article of Korean Health Promotion Act comes into effect in 2023 December, it is important to review the two official Healthy Cities guidelines published by World Health Organization Western Pacific Regional Office(WPRO). The first official guideline which reflects actions during the early pilot Healthy Cities projects is written by pioneers from academia and by staff at the WHO. The guideline still has implications today regarding the common steps according to the three phases of developing a healthy city. The second official guideline added many useful tools for partner mobilization and situation analysis in addition to strategic objectives and other resources. By reviewing these official Healthy Cities guidelines, the Korean Healthy Cities Partnership and the Academy of Urban Health would be able to add value to the development of Korean Healthy Cities.

새 신체활동기준의 동향과 함의

고광욱(Kwang Wook Koh) 한국보건교육건강증진학회 2018 보건교육건강증진학회지 Vol.35 No.5

Objectives: After many national physical activity guidelines have established, recent changes are deep and rapid. So the major features and implication to reverse worsening Korean physical activity indicator is desprate but related knowledge and informations are few. So review of recent features and implications of new physical activity guidelines have made. Methods: National physical activity guidelines of advanced countries were searched through snowballing methods. Major features were described according to the nation. Implication were drew through discussion for Korean realitiy. Results: New Australian physical activity and sedentary behaviour guideline explicitly included sedentary behaviour. The age in the guideline expanded to early years. Canada also presented 24-hour movement guidelines to early years. The second generation of the physical activity guidelines reflects the extensive amount of new knowledge. New aspects include discussions of additional health benefits related to brain health, additional cancer sites, and fall-related injuries; immediate and longer term benefits for how people feel, function, and sleep; further benefits among older adults and people with additional chronic conditions; risks of sedentary behavior and their relationship with physical activity; elimination of the requirement for physical activity benefits to occur in bouts of at least 10 minutes; and tested strategies that can be used to get the population more active. Conclusions: The most important message from the new guidelines is that the greatest health benefits accrue by moving from no, to even small amounts of, physical activity. Multiple studies demonstrate that the steepest reduction in disease risk occurs at the lowest levels of physical activity. People need to understand that even small amounts of physical activity are beneficial and that reductions in the risk of disease and disability occur by simply getting moving. So various evidence based proven strstegies are needed in Korea including workforce training.